Provider Demographics
NPI:1710294962
Name:CHRISTIAN, KIRBY C (MS, ED, MA, CMHC)
Entity Type:Individual
Prefix:MRS
First Name:KIRBY
Middle Name:C
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:MS, ED, MA, CMHC
Other - Prefix:MRS
Other - First Name:KIRBY
Other - Middle Name:C
Other - Last Name:ARMSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ED, MA, CMHC
Mailing Address - Street 1:5026 S WOODLAWN AVE
Mailing Address - Street 2:APT 3N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2853
Mailing Address - Country:US
Mailing Address - Phone:617-784-3682
Mailing Address - Fax:
Practice Address - Street 1:61 MEDFORD ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-3421
Practice Address - Country:US
Practice Address - Phone:617-629-3919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator